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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD B-315.1 Division of Welfare and Supportive Services Medical Assistance Manual 25 Mar MTL 02/25 MAABD MEDICAL CATEGORIES ELIGIBILITY EXCEPTIONS B-315.1 Eligibility Exceptions a. Individuals determined by SSI to have received SSI payments for which they were not eligible, are eligible for Medicaid for the period in which SSI payments were made on their behalf. b. Individuals under 22 receiving inpatient psychiatric services in a residential treatment center (RTC) are eligible for Medicaid when SSI eligible. c. Individuals under 65 who are residing in an institution for mental disease (IMD) i.e., a free- standing psychiatric hospital, are not eligible for Medicaid. An institution for individuals with intellectual disabilities IS NOT an institution for mental disease. B-315.2 SSI Resources All resources must be reported. All resources will be evaluated by the Social Security Administration. a. Transfer of Resources If an SSI recipient has an inpatient stay in a medical facility, see Transfer of Assets policy (F-405). b. Resource Limits Resource limits are $2,000 for an individual and $3,000 for a couple. When countable resources exceed the limit do not terminate eligibility. Notify the Social Security Administration of the assets using SSA Form 3911. B-320 PUBLIC LAW CASES Certain individuals who have lost SSI eligibility, but would still be eligible for SSI if some of their income was disregarded, may be Medicaid eligible if all other eligibility requirements are met. Public law dictates what income is disregarded for each group. Special attention is required for these individuals, so they do not have their Medicaid eligibility interrupted. Countable net income (after disregards) must be less than the applicable SSI payment amounts (SPA). Resource limits are the same as for SSI cases. B-320.1 Pickle Amendment - Public Law 94-566 Section 503 Customers are eligible for continued Medicaid assistance if: a. They currently receive RSDI, and